HomeMy WebLinkAboutNo 11579 _ _
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v ?4iarch 26 , ,19 $
City of~~akevuile--
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~~.5'79 HEATING PERIUIIT ~ ~~,sQ
Permtt Fee
ReCel rt State Surcharge .50
TOTAL FEE PAID ~eQ ~ 7Q
.Permission is hereby granted to ilronen' S ~~eatin~IO1-Ber~ ~onstructton
Building on Lot No. ~ Block ~ Subdivision Dn~i~l Pninta ~nA Ariditi+Cltt
Parcel #>`22-2t7$61-090-0'? Plat.
In the CITY OF LAKEVILLE to be used as hermit to install. heating in new construction
This permit is issued on the express condition that the ~[~RECTION -~4LTERATION -REPAIRS
~ ENLARGEMENT -JIAOVING -DEMOLITION respects to the statements certified to in the application for
such permit, and that all work shall be done in accordance with the Ordinance of LAKEVILLE, Minnesota'and the State of Minnesota
pertaining to the construction of buildings.
street Address 161Q$ Uiadc~ :Lane Glenn A. Langord
Director, License and Inspection
Attention is particularly called to the cutting up of streets, making main sewer
connections, driuewaysand curbs. Obtain permit forsuch construction from the CITY r'
OF LAKEVILLE.lnspectionDepartmentNotResponsibleForAnyDamagestoPublic By '
Utilities:
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v DATE J~~~~
CITY OF LAKc'~/ILLJE
BUILDING INSPECTION DEPARTMENT - (612) 469-4431
APQl.ICATiON FOR HEATING PErZMIT
Site Address : ~~1/rJ ~~~t~
Alter Repair
Legal: Lot Block Addition Install Replace
MAKE t~2r3~~`c TYPE OF SYSTEM
SIZE ~`,C>11f~
Warm Air Plants
CONN. LOAD ~ Gravity
FUEL ~~T, ~/r'-~' Mechanical
FLUE DIA.
Air Conditioning
SUPPf_`{ GPENINGS ~l Vent Srstere
RETURN OPENINGS ~ Heating or Power Pfant
INPUT ~~,L~~~ Steam
OUTPUT ~ll~
Hot Water
EDR
Radiation
CFM
Wood-busing Stove:
~ommercial• Wood-burning Fireplarx:
'Ian No. Date
st. Comp. Date Est. Cost S Heating Permit fee
State Surcharge
Total Permit Fees
~I Owner's Name ~
Address ~/`?y'~_~ - ~i~~C E G~
i
I'IHeating Controctor,L~ff'~/1lE/r~``'~ .~Tv~. Tel. G~
Address c~~`~D ~l'ESil~i~o0!-~ ~ City ~Uc•'~ ~'~'i~/~~~E" Zip ~ S_3s~.f~'
Heating, Air Conditioninq, Ventitation $ Refrigeration Permit Fee for single family residence in-
+ .50 surcharge
stallation ~ 39_SO-----------~-~------------------------------$--
Alterotion or Repair Min. Fee_S~~•~~ ~ •50__s_u_zc_?~_a_rge~_____________________g
Non Residential Fee shall be computed at 1 0 of the contract up to $10,000; ~9: for
balance over $10,000 + :50 surcharge. Minimum=$24.50+.50_-__________$
(GAS PIPING INCLUDED)
Send applicaiian and heat loss calculation with check for Permits to:
C3TY OF LAKL'~/ILLE
Glenn A. (Barney) Langord Iaspectian Department Notice:
Plumbing & Heating Inspector Box 957 Call for inspection whey
Lakeville, MN 55044 work is completed.